Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $67.83 / $71.16	Facility		$67.83	$67.83	$71.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $63.71 / $76.34	Professional		$50.88	$63.71	$76.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $84.84 / $101.81	Professional		$67.88	$84.84	$101.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $67.83 / $120.26	Facility		$52.68	$67.83	$120.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $150.86 / $856.96	Professional		$94.13	$150.86	$856.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $89.76 / $94.54 / $152.28	Facility		$89.76	$94.54	$152.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.76 / $103.42 / $122.81	Professional		$89.76	$103.42	$122.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $84.10 / $125.50	Professional		$75.05	$84.10	$125.50
United Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $129.52 / $129.52	Professional		$99.95	$129.52	$129.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $91.00 / $98.90	Professional		$77.30	$91.00	$98.90